Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lee Ross (NPI 1649600685)

Field	Value
Entity Type	Individual
Organization	Lee Ross
Address	3801 Old Bruceville Rd
City	Vincennes
State	IN
ZIP	47591
Taxonomy	Occupational Therapist
NPI Enumerated	November 12, 2013

Payer Source	Total Paid
Medicare	$122.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	3,800	$20	$72.2K
97535	A healthcare provider is required to give proper instruction to a person especially in cases of recovery from acute disease.	1,630	$20	$26.1K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	1,120	$20	$16.8K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	240	$20	$4K
97166	The occupational therapist (OT) performs an evaluation requiring clinical decision–making of moderate analytic complexity, which includes analysis of occupational profile, problem–focused assessment…	50	$70	$3.9K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Lee Ross — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97530	9	1,250	340	$20	$12.7K
97110	209	1,470	420	$20	$10.5K
97112	580	1,140	250	$20	$7.9K
97535	4	260	90	$20	$4.6K
97166	12	110	20	$70	$2.1K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lee Ross, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridgette Likens	IN	Physical Therapist	$258.5K	$0
Godwin Biokoro	IN	Physical Therapist	$176K	$0
Kyle Salsbury	KY	Physical Therapist	$155K	$0
Cherry Morgia	IN	Physical Therapist	$114.7K	$0
Leslie Erickson	IN	Occupational Therapist	$108.1K	$0
Rachel Stephens	IN	Occupational Therapist	$107.2K	$0
Bena Lee Gates	IN	Physical Therapist	$104.9K	$0
Carrie Wiles	KY	Physical Therapist	$97.5K	$0
Natalie Bault	KY	Occupational Therapist	$92.6K	$0
Loreto Bayani	IN	Physical Therapist	$91.3K	$0

Nearby Providers

Other providers in the same ZIP code as Lee Ross, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Knox County Association For Retarded Citizens, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$18.8M
Good Samaritan Hospital	IN	General Acute Care Hospital	$0	$15.8M
Good Samaritan Hospital	IN	Community/Behavioral Health Agency	$0	$9.9M
Good Samaritan Hospital Physician Services, Inc	IN	Hospitalist Physician	$0	$9.8M
Good Samaritan Hospital	IN	Clinic/Center	$0	$8.8M
Midwest Emergency Medicine, Inc.	IN	Emergency Medical Services (Emergency Medicine) Physician	$0	$4.3M
Good Samaritan Hospital Physicians Services Inc	IN	Rural Health Clinic/Center	$0	$3.6M
Good Samaritan Family Health Center, Inc	IN	Federally Qualified Health Center (FQHC)	$0	$2.8M
Lincare Inc	IN	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Good Samaritan Family Health Center, Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.6M

Lee Ross — Billing Profile & Reimbursement Data

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Lee Ross — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References